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Revised IAP growth charts for height, weight and body mass index for 5- to 18-year-old Indian children

, Vaman Khadilkar1, Sangeeta Yadav

  • 1Indian Academy of Pediatrics Growth Charts Committee; *Department of Pediatrics, Lakeshore Hospital, Kochi, Kerala; #Department of Pediatrics, AIIMS, Rishikesh, Uttarakhand;$Hirabai Cowasji Jehangir Medical Research Institute, Jehangir Hospital, Pune; ^Alpha Hospital and Research Centre, Institute of Diabetes and Endocrinology, Madurai; @Diabetes Research, Dr. Mohans Diabetes Speciality Centre, Chennai; **Department of Pediatrics, JSS Medical College, JSS Univeristy, Mysuru; and ##Department of Human Physiology, Ramakrishna Mahavidyalaya, Tripura; India. Correspondence to: Dr Vaman Khadilkar, Convener, IAP Growth Chart Committee, Consultant Pediatric Endocrinologist, Hirabai Cowasji Jehangir Medical Research Institute, Jehangir Hospital, Pune, India. vamankhadilkar@gmail.com.

Indian Pediatrics
|February 2, 2015
PubMed

Insights

Revised Indian Academy of Pediatrics (IAP) growth charts for children aged 5-18 years are now available. These updated charts reflect current data for better assessment of child growth in India.

Area of Science:

  • Pediatrics
  • Anthropometry
  • Public Health

Background:

  • Previous Indian Academy of Pediatrics (IAP) growth charts for 5-18 year olds are over two decades old.
  • India is undergoing a nutrition transition, necessitating updated growth assessment tools.
  • Revised charts are crucial for accurate monitoring of child growth and development.

Purpose of the Study:

  • To construct revised IAP growth charts for Indian children and adolescents aged 5-18 years.
  • To base these charts on recent, collated national data from apparently healthy individuals.
  • To provide an updated standard for growth assessment in Indian children.

Main Methods:

  • The IAP Growth Chart Committee utilized data from 33,148 children (18,170 males, 14,978 females) aged 5-18 years.
  • Data were collated from 13 studies across fourteen Indian cities, focusing on children from upper and middle socioeconomic strata.
  • Cole's LMS method was employed to construct the revised growth charts for height, weight, and Body Mass Index (BMI).

Main Results:

  • Revised growth charts for height, weight, and BMI have been developed for Indian children aged 5-18 years.
  • These charts are based on data collected within the last decade, reflecting current population characteristics.
  • Specific BMI cut-offs (23 and 27) are recommended for defining overweight and obesity in this age group.

Conclusions:

  • The revised IAP growth charts are recommended to replace the previous versions for assessing growth in 5-18 year old Indian children.
  • For children under 5 years, the use of World Health Organization (WHO) growth standards is recommended.
  • Established IAP guidelines from 2007 should continue to be followed for height and weight monitoring.
Abstract

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